Oral Hypoglycemic agents Flashcards
Sulfonylureas: MOA
Increase insulin secretion
Sulfonylureas disadvantage
Hypoglycemia
Wt gain
inhibit MI
B cell exhaustion
Names of sulfonylurease
1st gen: Chlorpropamide
2nd gen: Glipizide
glyburide
name of Biguanide
Metformin
Biguanides MOA
Decrease helpatic glucose production
Biguanide advantage
Wt loss
no hypoglycemia
decrease cardiovascular risk
Biguanide disadvangages
GI upsed
B12 deficiency
CKD contradiction
Thiazolidinediones drugs
Rosiglitazone
Thiazolidinedionase MOA
Increase Peripheral insulin sensitivity
Disadvantage to Thiazolidineodinase
Wt gain
Edema, heart failure
bone fracture, LDL CVD
Advantages for thiazilidneodinase
No hypoglycemia
Beta cell preservaton
increase HDL
Glinides drugs
Repaglinide
MOA of Glinides
iincrease insuline secretion
advantage of glinides
decrease postprandial glucose
Disadvangage of glinides
B cell exhaustion
hypoglycemia
wt gain
Alpah glucosidase inhibitors MOA
Decrease intestinal carbohydrate absorption
GLIP-1 receptor agonist MOA
Increase insulin secretion
Decrease glucagon
increase satitety
GLIP-1 receptor agonist
wt loss,
injectable
Amylin mimetics moa
Activates amylin receptors
Reduce glucagon secretion
slow gastric emptying
increased satiety
Amylin Mimetics drug
pramlintide
DPP-4 inhibitors drug
sitagliptin
DPP-4 inhibitor MMA
Inhibit DPP-4
increase endogenous incretions
increase insulin secretion
Decrease glucagon
Bile acid sequestrants drug
golesevelam
bile acid sequestrants moa
Binds bile acid cholesterol